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Free Flap Salvage in Lower Extremity Reconstruction via Use of Contralateral Lower Extremity Recipient Vessels
| Content Provider | Semantic Scholar |
|---|---|
| Author | Bennett, Katelyn G. Kelley, B. P. Kung, Theodore A. Momoh, Adeyiza Olutoyin |
| Copyright Year | 2016 |
| Abstract | Lower extremity trauma is extremely common and accounts for almost 15% of emergency room visits,1 with 492,000 tibia, fibula, and ankle fractures per year in the United States.2 Acute injuries are commonly managed primarily by orthopedic surgeons with fracture fixation or stabilization. In complex fractures involving the lower limb, as in Gustilo grade IIIB or IIIC fractures, limb salvage typically requires the involvement of reconstructive surgeons. Durable soft-tissue reconstruction to support fracturehealing and provide coverage of underlying hardware is critical. Often, soft-tissue deficits in the distal third of the leg require free flap reconstruction, as local and regional flaps are unavailable secondary to the extent of the injury or are too small to span the entire defect.3 Identification of suitable recipient vessels is challenging when the zone of injury is large.4 Similar to pedicled cross-leg flaps, surgeons can consider a free cross-leg flap reconstruction of extremities with an extensive zone of injury and compromise of the regional blood supply.4–6 We present a case where a traditional free latissimus dorsi muscle flap reconstruction was attempted for coverage of a large distal leg defect. However, due to ongoing thrombosis of progressively more proximal vessel anastomoses, the harvested flap was salvaged via the use of the contralateral anterior tibial artery and vein. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://www.thieme-connect.de/products/ejournals/pdf/10.1055/s-0036-1593404.pdf |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Accident and Emergency department Ankle brachial pressure index (observable entity) Attempt Blood Vessel Tissue Bone structure of tibia Data recovery Fibula Fracture Fractures, Multiple Free flap Head Injuries, Penetrating Limb Salvage Limb structure Lower Extremity Orthopedics Patients Software bug Structure of anterior tibial artery Structure of latissimus dorsi muscle Surgical Flaps Thrombosis Tibial Arteries Ventricular Septal Defects muscle flap |
| Content Type | Text |
| Resource Type | Article |
